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Dr. Vincent P Pennisi, MD
Obstetrics & Gynecology Physician in Stockton, California
NPI 1487653341

Vincent P Pennisi is a Obstetrics & Gynecology Physician based in Lodi, CA. Vincent P Pennisi practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Vincent P Pennisi is 1487653341 and holds a License No. G45259 (California).

The current practice location address for Vincent P Pennisi is 1617 N California St., Stockton, CA and can be reached out via phone at 209-466-8546 and via fax at 209-466-3335. You can also correspond with Vincent P Pennisi through the mailing address at PO BOX 1090, LODI, CA - 95241-1090 (mailing address contact number: 209-334-1800).

Location: 1617 N California St., Stockton, CA, 95241-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487653341
Provider Name
Vincent P Pennisi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1617 N California St., Stockton, CA, 95241-1090
Phone Number
209-466-8546
Fax Number
209-466-3335
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G452590 05 CA
1386636165 01 CA GROUP NPI
institution
Provider Business Practice Location Address Details
Address
1617 N California St.
City
Stockton
State
California
Zip
95204
Phone Number
209-466-8546
Fax Number
209-466-3335
person
Provider Business Mailing Address Details
Address
Po Box 1090
City
Lodi
State
California
Zip
95241-1090
Phone Number
209-334-1800
Fax Number
209-334-1430
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G45259 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
G45259 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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